Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study
Objectives: Even though guidelines are available to guide dysphagia identification and management practice, there is still a gap between evidence and practice, which requires improvement. The purpose of this study was to determine the effect of using tailored, multifaceted strategies to improve evid...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | International Journal of Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013222000424 |
| _version_ | 1818521019546075136 |
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| author | Xiaoyan Zhang Junqiang Zhao Liping Zheng Xuejing Li Yufang Hao |
| author_facet | Xiaoyan Zhang Junqiang Zhao Liping Zheng Xuejing Li Yufang Hao |
| author_sort | Xiaoyan Zhang |
| collection | DOAJ |
| description | Objectives: Even though guidelines are available to guide dysphagia identification and management practice, there is still a gap between evidence and practice, which requires improvement. The purpose of this study was to determine the effect of using tailored, multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital. Methods: Guided by the Knowledge to Action framework, the tailored, multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design. These strategies consisted of training intervention, policy intervention, and audit and feedback intervention. Nurses’ level of knowledge and adherence, were collected in March 2019 and again in January 2020. Patients’ quality of life and satisfaction were evaluated during the pre-intervention period (between February 2019 and April 2019) and the post-intervention period (between November 2019 and January 2020). Results: A total of 55 patients with post-stroke dysphagia (28 in the pre-intervention period and 27 in the post-intervention period) and 17 registered nurses were recruited. Following implementation, there were statistically significant improvements in patients’ outcomes (quality of life and satisfaction) and nurses’ outcomes (level of knowledge and adherence). Conclusions: This study assists in closing the research-practice gap by using tailored, multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices. |
| first_indexed | 2024-12-11T01:45:24Z |
| format | Article |
| id | doaj.art-c1b3033f5337425e98cf5049dd7f8160 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-12-11T01:45:24Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-c1b3033f5337425e98cf5049dd7f81602022-12-22T01:24:55ZengElsevierInternational Journal of Nursing Sciences2352-01322022-07-0193295302Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after studyXiaoyan Zhang0Junqiang Zhao1Liping Zheng2Xuejing Li3Yufang Hao4School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, CanadaDepartment of Neurosurgery, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, ChinaSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, China; Corresponding author.Objectives: Even though guidelines are available to guide dysphagia identification and management practice, there is still a gap between evidence and practice, which requires improvement. The purpose of this study was to determine the effect of using tailored, multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital. Methods: Guided by the Knowledge to Action framework, the tailored, multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design. These strategies consisted of training intervention, policy intervention, and audit and feedback intervention. Nurses’ level of knowledge and adherence, were collected in March 2019 and again in January 2020. Patients’ quality of life and satisfaction were evaluated during the pre-intervention period (between February 2019 and April 2019) and the post-intervention period (between November 2019 and January 2020). Results: A total of 55 patients with post-stroke dysphagia (28 in the pre-intervention period and 27 in the post-intervention period) and 17 registered nurses were recruited. Following implementation, there were statistically significant improvements in patients’ outcomes (quality of life and satisfaction) and nurses’ outcomes (level of knowledge and adherence). Conclusions: This study assists in closing the research-practice gap by using tailored, multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.http://www.sciencedirect.com/science/article/pii/S2352013222000424Deglutition disordersEvidence-based practiceImplementation scienceNursesPatient satisfactionProfessional practice gaps |
| spellingShingle | Xiaoyan Zhang Junqiang Zhao Liping Zheng Xuejing Li Yufang Hao Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study International Journal of Nursing Sciences Deglutition disorders Evidence-based practice Implementation science Nurses Patient satisfaction Professional practice gaps |
| title | Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study |
| title_full | Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study |
| title_fullStr | Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study |
| title_full_unstemmed | Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study |
| title_short | Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study |
| title_sort | implementation strategies to improve evidence based practice for post stroke dysphagia identification and management a before and after study |
| topic | Deglutition disorders Evidence-based practice Implementation science Nurses Patient satisfaction Professional practice gaps |
| url | http://www.sciencedirect.com/science/article/pii/S2352013222000424 |
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